ABSTRACT
We present our experience of laparoscopic repair of inguinal hernia using transabdominal preperitoneal [TAPP] and total extra peritoneal [TEP] technique at this district hospital since June 1999. We had no significant morbidity and no recurrences. In both these techniques the entire inguinal floor is dissected to expose-all four potential hernial sites and covering them with prolene mesh. Initially we utilized TAPP approach and then gradually changed to TEP as we gained experience and got familiar with laparoscopic anatomy. Total extra peritoneal is now our standard approach for inguinal hernia. Laparoscopic repair is superior to open in terms of more rapid recovery, early return to work, less postoperative pain, lesser hospital stay, lesser recurrence and consumer acceptance